Provider First Line Business Practice Location Address:
POTENTIALS: OCCUPATIONAL THERAPY P.C.
Provider Second Line Business Practice Location Address:
303 MERRICK RD. SUITE 301
Provider Business Practice Location Address City Name:
LYNBROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-619-2222
Provider Business Practice Location Address Fax Number:
516-619-2224
Provider Enumeration Date:
07/26/2007